中小学生电子屏幕使用行为评价问卷的编制  

Development of an Assessment Questionnaire for Screen-based Behaviors among Primary and Secondary School Students

作　　者：胡静雯 吕萍萍 施姣姣 王昱杰 史慧静 HU Jingwen;LYU Pingping;SHI Jiaojiao;WANG Yuyie;SHI Huijing(Department of Maternal with Child and Adolescent Health,School of Public Health,Fudan University,Shanghai(200032),China)

机构地区：[1]复旦大学公共卫生学院妇幼与儿少卫生教研室,上海200032

出　　处：《中国学校卫生》2023年第9期1333-1337,共5页Chinese Journal of School Health

基　　金：健康上海行动专项项目(2022-2024)(JKSHZX-2022-10)。

摘　　要：目的研制针对中小学生电子屏幕使用行为的评价问卷,为综合评价中小学生屏幕使用行为提供依据。方法于2022年8—9月邀请19名专家,在查阅文献的基础上,以国家教育和卫生主管部门颁布的一系列指南和标准以及国内外相关指南为依据,结合现有的有关儿童青少年屏幕使用行为的评价工具,形成中小学生电子屏幕使用行为评价问卷的初始框架和条目池,通过德尔菲专家咨询后确定评价问卷的维度、评价条目及权重。结果两轮专家咨询的问卷回收率分别为95.0%和100.0%,问卷意见提出率分别为89.5%和63.2%,专家权威系数(Cr)为0.87。最终形成包含屏幕使用类型和时间控制、屏幕使用相关卫生行为、屏幕使用中的安全与文明、合理安排屏幕与非屏幕使用活动4个维度,共44个具体条目的评价问卷。各条目变异系数(CV)范围为0.00~0.19,肯德尔协调系数(W)由0.22上升至0.34(P值均<0.01),专家意见一致可信。结论编制的中小学生电子屏幕使用行为评价问卷,可用于综合评价中小学生电子屏幕使用行为,为后续采取干预措施改善中小学生电子屏幕使用相关行为提供依据。Objective To develop an assessment questionnaire for screen-based behaviors among primary and secondary school students,so as to provide a basis for comprehensive assessment among the population.Methods Nineteen experts were invited to take part in this study from August to September 2022.The initial framework and item pool of the assessment questionnaire were de-veloped based on literature review and a series of guidelines and standards issued by the national education and health authorities,as well as relevant domestic and foreign guidelines,and were combined with existing assessment tools that were used to evaluate screen-based behavior among these age groups.Experts in related fields were selected for two rounds of Delphi consultation to deter-mine the dimensions,items and corresponding weights of the assessment questionnaire.Results The response rates from two rounds of consultation were 95.0%and 100.0%respectively,the opinion submission rates were 89.5%and 63.2%respectively,and the authority coefficient(Cr)was O.87.An assessment questionnaire was finally designed,consisting in 44 items and four dimen-sions,namely screen use type and time,screen use related health behaviors,safety and civilization in screen use,and reasonable arrangement of screen and non-screen activities.The coefficient of variation(CV)of each item ranged from 0.00 to 0.19,and the Kendall's W increased from 0.22 to 0.34(P<0.01).Expert opinions were in agreement and credible.Conclusion The designed as-sessment questionnaire can be used to comprehensively evaluate screen-based behavior among primary and middle school students,and provides a basis for subsequent intervention measures to improve screen-based behavior among this population.

关 键 词：注视 眼 行为 德尔菲技术 问卷调查 学生 

分 类 号：R179[医药卫生—妇幼卫生保健] R195[医药卫生—公共卫生与预防医学]